- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,781.00 / $29,432.00 / $40,715.69
| Facility | | $8,781.00 | $29,432.00 | $40,715.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $8,149.85
| Facility | | $1,146.00 | $3,000.00 | $8,149.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,077.81 / $15,306.16 / $28,390.73
| Facility | | $11,077.81 | $15,306.16 | $28,390.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,077.81 / $15,306.16 / $28,390.73
| Facility | | $11,077.81 | $15,306.16 | $28,390.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $19,590.41 / $30,375.24
| Facility | | $5,419.00 | $19,590.41 | $30,375.24 |